
<tr >
    <td class = "form-label" > X1 < /td >
    <td > <input type = "text" id = "X1" data = "X1" name = "X1" class = "form-control" > </td >
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</tr>

<tr >
    <td class = "form-label" > X3 < /td >
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    <td class = "form-label" > X4 < /td >
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</tr>

<tr >
    <td class = "form-label" > X5 < /td >
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    <td class = "form-label" > X6 < /td >
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</tr>

<tr >
    <td class = "form-label" > X7 < /td >
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    <td class = "form-label" > X8 < /td >
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</tr>

<tr >
    <td class = "form-label" > X9 < /td >
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    <td class = "form-label" > X10 < /td >
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</tr>

<tr >
    <td class = "form-label" > X11 < /td >
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    <td class = "form-label" > X12 < /td >
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</tr>

<tr >
    <td class = "form-label" > X13 < /td >
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    <td class = "form-label" > X14 < /td >
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</tr>

<tr >
    <td class = "form-label" > X15 < /td >
    <td > <input type = "text" id = "X15" data = "X15" name = "X15" class = "form-control" > </td >
    <td class = "form-label" > X16 < /td >
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</tr>

<tr >
    <td class = "form-label" > X17 < /td >
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    <td class = "form-label" > X18 < /td >
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</tr>

<tr >
    <td class = "form-label" > X19 < /td >
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    <td class = "form-label" > X20 < /td >
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</tr>

<tr >
    <td class = "form-label" > X21 < /td >
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</tr>

<tr >
    <td class = "form-label" > X23 < /td >
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    <td class = "form-label" > X24 < /td >
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</tr>

<tr >
    <td class = "form-label" > X25 < /td >
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    <td class = "form-label" > X26 < /td >
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</tr>

<tr >
    <td class = "form-label" > X27 < /td >
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    <td class = "form-label" > X28 < /td >
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</tr>

<tr >
    <td class = "form-label" > X29 < /td >
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    <td class = "form-label" > X30 < /td >
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</tr>
